Individual
JENNIFER L EGGEBROTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E, RM 2B200, SALT LAKE CITY, UT 84132-0002
(801) 581-7647
Mailing address
30 N 1900 E STE 2B200, SALT LAKE CITY, UT 84132-0002
(801) 581-5501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8780986-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2012
Last updated
01/21/2023
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